A list of the most recent deficiencies for Focused Care at Webster. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-09 | 2024-01-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-09 | 2024-01-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-09 | 2024-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-09 | 2024-01-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-05 | 2024-01-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-05 | 2024-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-22 | 2023-03-01 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-09-23 | 2022-10-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-23 | 2022-10-14 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-23 | 2022-10-14 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-09-23 | 2022-10-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-09-23 | 2022-10-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-23 | 2022-10-14 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-23 | 2022-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-23 | 2022-09-01 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-09-15 | 2021-09-25 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-07-09 | 2021-07-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-09 | 2021-07-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-09 | 2021-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-09 | 2021-07-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-07-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-09 | 2021-07-26 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-07-09 | 2021-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-09 | 2021-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-07-26 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-07-09 | 2021-07-26 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-07-01 | 2021-07-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-01 | 2021-07-20 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-07-01 | 2021-07-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-01 | 2021-07-20 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-07-01 | 2021-07-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-01 | 2021-07-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-08 | 2021-07-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-08 | 2021-07-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-07 | 2021-04-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-07 | 2021-04-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-17 | 2021-04-01 | Y |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-03-17 | 2021-04-01 | Y |
